Charlotte County Ostomy Support Group
A 501 (C) (3) nonprofit organization, (tax deductible donation)
Tuesday, November 8th, 2016, 2:00PM
(Don’t forget to VOTE!)
Town Hall @ South Port Square
2nd Floor, Gables East Dining Room
23023 Westchester Blvd. Port Charlotte
Program: Theresa Roberson, Southport Square Dietician
& Honoring Nurse Penny Maki’s retirement
$25 Beef O’Brady PG, $25 Sunset Grill
President: Jerry Downs……. 629-7568…………..email:firstname.lastname@example.org
Vice Pres…Bonnie Coker 423-8542 Directors Jan Doner 941-914-6296
Secretary: Lovelle Meester….637-8167 Lorelie Godbout:… 603-474-9063
Treasurer: Karen Chalfant:.…623-0088 Joan Huber………941-.575-8708
Newsletter: Gloria Patmore RNET (Retired) & Karen Chalfant
Programs & Education: Jerry Downs, Penny Maki, RNET,CWS, 205-2620
Gloria Patmore RNET(Retired) 627-9077
Nancy Frank RN,BSN,CWOCN, 629-5118,
Jill Lindsay, RN,BSN,CWOCN,629-1181
Visitation: Penny Maki RNET, CWS & Nancy Frank BSN,CWOCN
Library: Karen Chalfant
Products Bonnie Coker
John P. Rioux, MD, F.A.C.S. Penny Maki, RN,ET.CWS. Jill Lindsay, RN,BSN,CWOCN
Nancy Frank, RN,BSN,CWOCN
Charlotte County Ostomy Support Group
Although many of you didn’t make the October meeting, I want you to know that it was informative in many ways. New members had the opportunity to talk with others, and to gain the tips of care that are so important to all of you. Sharon Plath and Judi Kahejua attended their first meeting. Hopefully they received some helpful information.
Our President, Jerry Downs, told of his wonderful experience as he was honored as a five-year survivor along with many other survivors, at Cancer Centers of America in Phoenix Arizona. They were treated royally and put their names on the tree of life. Jerry has had a rough five years through many problems of colo rectal cancer and metastatic lesions in his kidneys too. Yes! It does take vigilance to catch any outbreaks along the way, and he has had many trips to the Cancer Center as they have caught any outbreaks and treated them as needed. He is there for each of you helping you to achieve the joy that life can offer. He is often at our ostomy supply closet in Fawcett’s Wound Care Center helping ostomates find the supplies they need.
He not only has helped ostomates in need but has also worked on putting donated supplies on the shelves so needs can be filled.
This was also a special day for Penny Maki, RNET, CWS. She couldn’t make the meeting because the hospital held a retirement celebration for her at the exact same time as our meeting. Yes, our dear Penny has retired. The years go by quickly. Hard to believe she is over 65, but that happens before you realize it. Goodness knows that she is still a youngster in my eyes. Hopefully she will be able to join us at the meetings. Her knowledge from many years of experience benefits many already. We are all so happy for her, and for us.
Marie Michel RN, CWCA, CHRN, OMS has completed her study and has passed her Board Examinations to now be certified in Ostomy Care. She is working in the Wound Care Center of Peace River Hospital in Punta Gorda. She has received a scholarship from us, and will try hard to make our meetings. She has much responsibility, however, and it will not be easy to get away from the Wound Care Center and the Hospital. Jill Lindsay, RN,BSN,WOCN will be working with her three days a week.
We were most fortunate to have Eric Lubiner DO, FACOH an Oncologist with Florida Cancer Specialists, able to come as our speaker. He had seen 24 patients this morning. Although he is a busy doctor he still takes the time to bring us information on cancer treatment.
Today he concentrated on Cancers of the urinary system. Not just bladder cancer but cancers of the Urothelial or transitional cell carcinomas. The lining of the bladder continues all the way up to the kidney. All of the areas are lined with the same type of cells called Urothelial or Transitional cells. Many years ago the only treatment for advanced bladder cancer was a very toxic drug called MVAC. It was difficult to give and very toxic. 10 years ago they found that two other drugs worked just as well without the toxic effect and they were the choice for the bladder cancer patients. There was about a 40% response rate. The tumors shrank and this was at that time the best treatment for this disease.
In the past 3-4 years a new paragon of treatment has emerged where the patient’s own immune system is revved up and activated against the cancer. The cancer cells have PD1 and PDL1 in the immune system. They are made in the laboratory to fight the cancer cells. It is called Pdcentriq. This has just been approved for use in patients who cannot tolerate Chemotherapy. The PD1 and PDL1 cover up cells so that the body can recognize the cancer cells as something bad, and then the immune system can get to work to eliminate the cancer cells. The cancer cells are killed without harming the patient. The side effects of these medicines are very different from the side effects of chemotherapy. In individuals who have immune system diseases such as Rheumatoid Arthritis the activation of their immune system can cause a flare up of their disease. The physician must be very careful in those patients who have immune system issues to begin with. It is an exciting field in that it is changing cancer treatment completely, in using the patient’s own immune system to treat the cancer.
Dr Lubiner then explained how clinical trials are conducted to be able to derive changes of medications and treatments.
There are 4 phases to clinical trials.
Phase 1 is purely looking for side effects. A dosage is given to the first 3 patients, and then an increase in dosage for the next three, and so on until patients show side effects. Then they go back to the side effect free dosage.
Phase 2 is an efficacy trial, based on how well the drug works. The individuals in this trial would all receive the same dose of medication. Each would be tested for how the tumor shrinks and how many are doing well, and how many had to switch to other treatments, how many had to go off treatment because of side effects.
Phase 3 clinical trial is what is needed to get the FDA to approve the drug. The new drug is compared to the old treatment. 100 patients may be in this study with 50 on the new drug and 50 on the old drug. They look at who does better, who lives longer.
Phase 4 is called the post marketing trial. A lot of the drugs may work great but do even better when combined with chemotherapy. Different combinations may be used for best effect.
If the doctor thinks a patient may be a good candidate for a clinical trial he gives the patient a consent form to sign. The patient must consent in writing to participate in the clinical trial. Dr Lubiner compared this consent form to a real estate agreement where you need to read and initial each page. The consent form needs to list every possible side effect that can happen when you are on this trial. Included on this consent form is the statement that if you require hospitalization while on this trial the trial does not pay for that. Some patients are scared away by this statement when it is read.
In the history of trials many years ago experiments were conducted on prisoners or patients in mental hospitals without their consent.
It is so very important that the physician understand the consent form that Dr Lubiner attends yearly a special session to remain informed for his patients. When the many side effects are listed they are possibilities that the patient is made aware of even when the possibility may be very small.
Florida Cancer Specialists has 200 doctors associated with it. 90 are associated with the Sarah Canon Foundation Research Institute. There are 30-50 Clinical Trials being conducted at all times.
Dr Lubiner also talked about the invasive cancers that once it is progresses to muscle tissue it is invasive, and when it has progressed to the lymph nodes it is then metastatic.
Drug companies do studies working with cancer cells in the petri dish and seeing what the drugs being tested do to the cells. From there they progress to animal studies, before the drug ever reaches a clinical trial.
Tests are done on cancer patients to test the CEA levels. Elevation doesn’t necessarily mean that the cancer has returned. Sometimes it will fluctulate.
We all appreciated information brought to us by Dr Lubiner. I hope I have related it well for you. Call him if you have questions. He is so very caring! 941-766-7222
Life begins with an Ostomy(From past UOA info.)
Crazy you say? Let’s analyze. Before you were told that you would have to live with an ostomy, how often did you reflect on life? Your family? Your friends? The environment? The beauty and wonderment of a sunrise or the magnificence of a sunset? For the first time the possibility of your brief visit to life might end. Suddenly all senses become heightened, and appreciation of staying alive and living, become important.
Think back to all the time that has been wasted when sitting doing nothing, day dreaming, arguing about nothing, putting off to the next day, and worrying about the things that never come to pass. Never does one wish more, that they could have the time to do the things that are important; to accomplish tasks, mend personal relationships, and make peace with God. Life, and the meaning of life, comes into clear focus, and the frivolous aspects fade out of sight.
Each person reacts differently to these realizations; some positively and others negatively. Some adjust and live. Others lament that which may never come to pass.
Since we only visit this earth once, it is important to make every moment count. A moment allowed to be wasted can never be recaptured. Some view their ostomy as a death sentence, a situation with which they cannot, or will not, tolerate. What a waste! I wonder how many of these individuals before they were told they were going to have an ostomy, stayed at home worrying if they left the house they might be struck by lightning or run over by a Mack truck? Yet, now they have been told they have an ostomy, and they fold up and stop living!
An ostomy is a ticket to life. Without it you cannot live. It gives a second chance to assess your priorities and start living the important sides of life- To enjoy each day for itself and waste not a minute. It opens the blinds and lets the sun shine in on one’s life!